Healthcare Provider Details

I. General information

NPI: 1609891928
Provider Name (Legal Business Name): JENNY QI ZHU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23101 SHERMAN PL #405
WEST HILLS CA
91307-2003
US

IV. Provider business mailing address

23101 SHERMAN PL #405
WEST HILLS CA
91307-2003
US

V. Phone/Fax

Practice location:
  • Phone: 818-347-3287
  • Fax:
Mailing address:
  • Phone: 818-347-3287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License NumberA85201
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA85201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: